Clinical characteristics and risk factors analysis of bilateral renal tuberculosis.

IF 1.8 4区医学 Q3 UROLOGY & NEPHROLOGY

International Urology and Nephrology Pub Date : 2025-05-01 Epub Date: 2024-12-30 DOI:10.1007/s11255-024-04332-x

Xiaoshan Li, Linping Qi, Xiumei Li, Lilong Ma, Shuyu Yang, Xueyi Huang, Weiping Li, Xiande Huang, Yindong Kang, Panfeng Shang

{"title":"Clinical characteristics and risk factors analysis of bilateral renal tuberculosis.","authors":"Xiaoshan Li, Linping Qi, Xiumei Li, Lilong Ma, Shuyu Yang, Xueyi Huang, Weiping Li, Xiande Huang, Yindong Kang, Panfeng Shang","doi":"10.1007/s11255-024-04332-x","DOIUrl":null,"url":null,"abstract":"Objective: To analyze and discuss the clinical characteristics and risk factors of bilateral renal tuberculosis.Methods: A retrospective study was performed on 446 patients who were diagnosed with renal TB. Among these patients, 69 patients with bilateral renal TB were selected as the observation group, and 377 patients with unilateral renal TB served as the control group. Logistic regression was used to analyze the age, sex, BMI, place of residence, comorbidities, time from onset to clinic visit, and treatment history to identify the risk factors for the occurrence of bilateral renal TB.Results: The univariate analysis showed that BMI (P = 0.003), place of residence (P = 0.048), combined with urinary calculi (P = 0.010), history of endoscopy (P < 0.001), and history of ureteral stenting (P < 0.001) were significantly associated with the incidence of bilateral renal TB. The multivariate analysis revealed BMI < 18.5 kg/m2 (OR = 2.282, 95% CI 1.197-5.154, P = 0.015), rural residence (OR = 2.353, 95% CI 1.115-4.966, P = 0.025), combined with urinary calculi (OR = 2.152, 95% CI 1.177-3.933, P = 0.013), and history of endoscopy (OR = 3.973, 95% CI 1.369-11.535, P = 0.011) were identified as independent risk factors for the occurrence of bilateral renal TB.Conclusion: Such factors as rural residence, low BMI, urinary calculi, and previous history of endoscopic examination were identified as the main risk factors for the occurrence of bilateral renal TB.","PeriodicalId":14454,"journal":{"name":"International Urology and Nephrology","volume":" ","pages":"1503-1512"},"PeriodicalIF":1.8000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Urology and Nephrology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s11255-024-04332-x","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/12/30 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: To analyze and discuss the clinical characteristics and risk factors of bilateral renal tuberculosis.

Methods: A retrospective study was performed on 446 patients who were diagnosed with renal TB. Among these patients, 69 patients with bilateral renal TB were selected as the observation group, and 377 patients with unilateral renal TB served as the control group. Logistic regression was used to analyze the age, sex, BMI, place of residence, comorbidities, time from onset to clinic visit, and treatment history to identify the risk factors for the occurrence of bilateral renal TB.

Results: The univariate analysis showed that BMI (P = 0.003), place of residence (P = 0.048), combined with urinary calculi (P = 0.010), history of endoscopy (P < 0.001), and history of ureteral stenting (P < 0.001) were significantly associated with the incidence of bilateral renal TB. The multivariate analysis revealed BMI < 18.5 kg/m² (OR = 2.282, 95% CI 1.197-5.154, P = 0.015), rural residence (OR = 2.353, 95% CI 1.115-4.966, P = 0.025), combined with urinary calculi (OR = 2.152, 95% CI 1.177-3.933, P = 0.013), and history of endoscopy (OR = 3.973, 95% CI 1.369-11.535, P = 0.011) were identified as independent risk factors for the occurrence of bilateral renal TB.

Conclusion: Such factors as rural residence, low BMI, urinary calculi, and previous history of endoscopic examination were identified as the main risk factors for the occurrence of bilateral renal TB.

查看原文本刊更多论文

双侧肾结核的临床特点及危险因素分析。

目的：分析探讨双侧肾结核的临床特点及危险因素。方法：对诊断为肾性结核的446例患者进行回顾性研究。其中双侧肾结核69例为观察组，单侧肾结核377例为对照组。采用Logistic回归分析年龄、性别、BMI、居住地、合并症、发病至就诊时间、治疗史等因素，探讨双侧肾结核发生的危险因素。结果:单变量分析表明,BMI (P = 0.003),居住地(P = 0.048),结合泌尿结石(P = 0.010),内镜史(P 2 (OR = 2.282, 95% CI 1.197 - -5.154, P = 0.015),农村住宅(OR = 2.353, 95% CI 1.115 - -4.966, P = 0.025),结合泌尿结石(OR = 2.152, 95% CI 1.177 - -3.933, P = 0.013),和历史的内镜(OR = 3.973, 95% CI 1.369 - -11.535, P = 0.011)被确定为双边肾结核病的发生的独立危险因素。结论：农村居住、低BMI、尿路结石、既往内镜检查史等因素是双侧肾结核发生的主要危险因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

International Urology and Nephrology 医学-泌尿学与肾脏学

CiteScore

3.40

自引率

5.00%

发文量

329

审稿时长

1.7 months

期刊介绍： International Urology and Nephrology publishes original papers on a broad range of topics in urology, nephrology and andrology. The journal integrates papers originating from clinical practice.